| NPI | 1528755329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0104806-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 227002) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2025-10-20 |